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Individual

ALISSA DOOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5910 PACIFIC AVE, STOCKTON, CA 95207-4704
(209) 475-1000
Mailing address
5910 PACIFIC AVE, STOCKTON, CA 95207-4704
(209) 475-1000

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1745
CA

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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